Individual
MR. JONATHAN PAUL BOHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, PC, LCDC III
Contact information
Practice address
246 NORTHLAND DR, SUITE 140, MEDINA, OH 44256-1533
(330) 723-9600
(330) 722-1446
Mailing address
246 NORTHLAND DR, SUITE 140, MEDINA, OH 44256-1533
(330) 723-9600
(330) 722-1446
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C.0501075-CR
OH
101YM0800X
Mental Health Counselor
C.0501075-CR
OH
101YP2500X
Professional Counselor
Primary
C.0501075-CR
OH
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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